Plastic and Reconstructive Surgery

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Plastic & Reconstructive Surgery:
doi: 10.1097/01.prs.0000186534.50094.ab
Breast: Special Topic

Patient Self-Assessment of the Cosmetic Results of Breast Reconstruction

Andrade, William N. M.D., Ph.D.; Semple, John L. M.D., M.Sc.

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Background: In a previous study, the authors evaluated factors that contribute to patient satisfaction with breast reconstruction, using a comprehensive chart review and questionnaire. The results of part of this questionnaire, regarding patients' rating of the cosmetic result of their breast reconstruction, are presented in this article.

Methods: The questionnaire was mailed to 267 patients, 214 questionnaires (80.1 percent) were returned, and 200 contained a response to the question rating the overall cosmetic outcome of breast reconstruction (Fig. 1). To conduct a statistical analysis, the data were collapsed into two smaller groups. An “excellent” or “good” result was considered a “favorable” outcome, while lower responses were “unfavorable” outcomes.

Fig. 1
Fig. 1
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Results: The outcome was rated as excellent by 82 patients, good by 76 patients, fair by 31 patients, and poor by 11 patients. A significant association was found between overall cosmesis and breast size, shape, or scars.

Conclusion: It should not be assumed that patients' responses regarding satisfaction with reconstruction will reflect their specific feelings regarding cosmetic results.

©2006American Society of Plastic Surgeons


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